HOMETOWN PHARMACY INC (NPI# 1174518716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174518716 |
| Entity Type | Organization |
| Organization Name | HOMETOWN PHARMACY INC |
| Other Organization Name | HOMETOWN PHARMACY #33 |
| Practice Address |
12441 Stafford Rd Ravenna MI 49451-9783 |
| Practice Telephone | 2318532261 |
| Practice Fax Number | 2318536623 |
| Mailing Telephone | 2318532261 |
| Mailing Fax Number | 2318536623 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | REBEKAH LYN DESARMO (EXECUTIVE OPERATIONS ADMINISTRATOR) |
| Authorized Official Telephone | 2316527810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301009287 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2124358 | 01 |
| Other Name | Type Code |
|---|---|
| HomeTown Pharmacy #33 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306208483 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5866 Harvey St, Muskegon, MI 49444-6720 | 2016-03-28 |
| 1295071082 | Hometown Pharmacy Inc | Pharmacy | 50 E 82nd St, Newaygo, MI 49337-8005 | 2012-12-24 |
| 1700074713 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 39023 Harper Ave, Clinton Township, MI 48036-3226 | 2007-10-04 |
| 1720120173 | Hometown Pharmacy Inc | Pharmacy | 2228 Albert Pike Rd Ste B, Hot Springs, AR 71913-4089 | 2007-02-13 |
| 1457408916 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3270 M 65, Hale, MI 48739-8509 | 2007-01-05 |
| 1922163351 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1 S Washington St, Oxford, MI 48371-4978 | 2006-12-26 |
| 1275610263 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1 N Whittaker St, New Buffalo, MI 49117-1135 | 2006-11-01 |
| 1215014311 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2006-11-01 |
| 1396821377 | Hometown Pharmacy Inc | Pharmacy | 17717 174th Ave, Spring Lake, MI 49456 | 2006-10-31 |
| 1144304890 | Hometown Pharmacy Inc | Pharmacy | 730 West Shaw, Howard City, MI 49329 | 2006-10-25 |
| Street Address |
12441 STAFFORD RD |
| City | RAVENNA |
| State | MI |
| Zip Code | 49451-9783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528404159 | Joseph Thomas Bristol | Pharmacist | 12441 Stafford Rd, Ravenna, MI 49451-9783 | 2013-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356740245 | Crockery Creek Elder Care, Inc | Assisted Living Facility | 12291 Crockery Creek Dr., Ravenna, MI 49451 | 2014-08-18 |
| 1114251139 | Alisha Lewise Warner | Nurse's Aide | 155 S. Trent Rd., Ravenna, MI 49451 | 2009-09-23 |
| 1346413309 | Kelley Marie Young | Nurse Practitioner | 12520 Crockery Creek Drive, Ravenna, MI 49451 | 2008-04-10 |
| 1508084310 | Bonnie Jean Pline | Family Medicine | 1042 S. Ravenna Rd., Ravenna, MI 49451 | 2007-04-24 |
| 1083619936 | Timothy L Beechnau | Family Medicine | 12520 Crockery Creek Dr., Ravenna, MI 49451 | 2005-06-16 |
| 1417279407 | Apple Family Medicine, P.l.c. | Clinic/Center | 1042 S Ravenna Rd, Ravenna, MI 49451 | 2010-02-18 |
| 1497928469 | Ravenna Family Practice, P.C. | Family Medicine | 12520 Crockery Creek Dr., Ravenna, MI 49451 | 2008-04-10 |
| 1063455129 | Craig R Cameron Dds Plc | Dentist | 12374 Stafford Street, Ravenna, MI 49451-0204 | 2006-06-14 |
| 1083809917 | Craig Robert Cameron | Dentist | 12374 Stafford Street, Ravenna, MI 49451-0204 | 2007-09-13 |
| 1023287836 | Robert D & Cindy L Douglas | Technician/Technologist | 12412 Stafford, Ravenna, MI 49451-0307 | 2008-02-26 |
| Find all providers in zip 49451 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366457202 | Marc Glassman Inc | Pharmacy | 1145 E Main St, Ravenna, OH 44266-3327 | 2006-07-29 |
| 1922597533 | Robinson Health System, Inc | Pharmacy | 6847 N Chestnut St, Outpatient Pharmacy, Ravenna, OH 44266-3929 | 2018-05-09 |
| 1477656197 | Ohio Cvs Stores LLC | Pharmacy | 318 E Main St, Ravenna, OH 44266-3108 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477389 | Rose Rex LLC | Pharmacy | 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 | 2020-11-08 |
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.